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Unfortunately, adoption of these standards was rendered discretionary with each state, and there are no sanctions for noncompliance.
As a result, only 43 states have developed any regulatory guidelines for radiologic personnel, and standards vary dramatically from state to state.
12 Congressional Budget Office Estimate............................. 12 Federal Mandates Statement....................................... 17 Advisory Committee Statement..................................... 17 Constitutional Authority Statement............................... 17 Applicability to Legislative Branch.............................. 18 Section-by-Section Analysis of the Legislation................... 18 Changes in Existing Law Made by the Bill, as Reported............ OPTIONAL MEDICAID COVERAGE OF CERTAIN BREAST OR CERVICAL CANCER PATIENTS. 1396a(a)(10)(A)(ii)) is amended-- (A) in subclause (XIII), by striking ``or'' at the end; (B) in subclause (XIV), by adding ``or'' at the end; and (C) by adding at the end the following: ``(XV) who are described in subsection (aa) (relating to certain breast or cervical cancer patients);''. 1396a) is amended by adding at the end the following: ``(aa) Individuals described in this paragraph are individuals who-- ``(1) are not described in subsection (a)(10)(A)(i); ``(2) have not attained age 65; ``(3) have been screened for breast and cervical cancer under the Centers for Disease Control and Prevention breast and cervical cancer early detection program established under title XV of the Public Health Service Act (42 U. ``(c) Administration.-- ``(1) In general.--The State agency shall provide qualified entities with-- ``(A) such forms as are necessary for an application to be made by an individual described in subsection (a) for medical assistance under the State plan; and ``(B) information on how to assist such individuals in completing and filing such forms.
20 Additional Views.................................................32, 34 Amendment The amendments are as follows: Strike out all after the enacting clause and insert in lieu thereof the following: SECTION 1. This Act may be cited as the ``Breast and Cervical Cancer Prevention and Treatment Act of 1999''. (a) Coverage as Optional Categorically Needy Group.-- (1) In general.--Section 1902(a)(10)(A)(ii) of the Social Security Act (42 U. (2) Group described.--Section 1902 of the Social Security Act (42 U. ``(2) Notification requirements.--A qualified entity that determines under subsection (b)(1)(A) that an individual described in subsection (a) is presumptively eligible for medical assistance under a State plan shall-- ``(A) notify the State agency of the determination within 5 working days after the date on which determination is made; and ``(B) inform such individual at the time the determination is made that an application for medical assistance under the State plan is required to be made by not later than the last day of the month following the month during which the determination is made. 1396b(u)(1)(D)(v)) is amended-- (i) by striking ``or for'' and inserting ``, for''; and (ii) by inserting before the period the following: ``, or for medical assistance provided to an individual described in subsection (a) of section 1920B during a presumptive eligibility period under such section''. 1396d(b)) is amended-- (1) by striking ``,, (2)'' and inserting ``, (2)''; (2) by striking ``and'' before ``(3)''; and (3) by inserting before the period at the end the following: ``, and (4) in the case of a State for which the Federal medical assistance percentage is otherwise less than 75 percent, it shall be equal to 75 percent with respect to medical assistance provided to individuals who are eligible for such assistance only on the basis of section 1902(a)(10)(A)(ii)(XV)''. HUMAN PAPILLOMAVIRUS; ACTIVITIES OF CENTERS FOR DISEASE CONTROL AND PREVENTION. 243 et seq.) is amended by inserting after section 317G the following section: ``human papillomavirus ``Sec. (a) Surveillance.-- ``(1) In general.--The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall-- ``(A) enter into cooperative agreements with States and other entities to conduct sentinel surveillance or other special studies that would determine the prevalence in various age groups and populations of specific types of human papillomavirus (referred to in this section as `HPV') in different sites in various regions of the United States, through collection of specialspecimens for HPV using a variety of laboratory- based testing and diagnostic tools; and ``(B) develop and analyze data from the HPV sentinel surveillance system described in subparagraph (A).
An underexposed chest x-ray cannot reveal tuberculosis or pneumonia; an improperly performed ultrasound study cannot detect spina bifida or other growth defects in a developing fetus; and inadequate mammography technique cannot help detect breast cancer.